Canine Cough Release Form

Please complete the form below to submit the Canine Cough Release online. You can also click the button below to download and print the form.

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Name *

First

Last

Email *

Our kennel requires the vaccinations to be given prior to boarding at the Gardner Animal Care Center. *

My pet(s) has been vaccinated LESS than 72 Hours prior to boarding against bordetella bronchiseptica and I understand there is a greater risk of infection.
My pet has been vaccinated MORE than 72 hours prior to boarding against bordetella bronchiseptica and I understand that no vaccine is guaranteed 100%; and that bordetella is meant to help prevent against the most common/viruses transmitted between pets; and understanding that bordetella, calici virus, rhinotracheatis and panleukopeina arenot only upper respiratory virus infections (URI) that are easily spread by pets in close proximity; and that the transmission of most URI’s is often when the pets are not exhibiting signs.

In the event my pet(s) are diagnosed with canine cough after boarding, I acknowledge the Gardner Animal Care Center took the necessary precautions to prevent infection and informed me of the risk of infection. I do, therefore, release the Gardner Animal Care Center from any responsibility. *

I have read and understand.

Signature *

Please type your full name.

Date *

Canine Cough Release Form

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